ABSTRACT
The principles of Lean healthcare support evidence-based design. Lean calls for the identification of all major stakeholders and specifying what they consider valuable. Stakeholder value can be grouped into the basic categories of tangibility, reliability, responsiveness, assurance, and empathy. When these requirements are not met, processes create waste. EBD analyzes the constraints that need to be addressed. The design process covers several stages: initial hypothetical design, process design, service design, and empirical design. These principles are detailed in a case in a hospital in Kolkata.
